Name :............................................................... TB : ................

Cm
Age : .............................................................. BB : ................ Kg
Body Mass Index : ............................................................
Ministry of Health of the Republic of Indonesia
Daily nutritional needs : 2011
Calories : Kkal Fat : gram

HEAR
Protein : gram Carbohydrate : gram

DISTRIBUTION OF FOOD A DAY

Morning at 06.00-08.00
Weight (g)
Rice / substitute : ......................
* URT
.......................
DISEAS
T
E DIET
Animal / vegetable : ...................... .......................
Sample Menu
Vegetables : ...................... .......................
Oil : ...................... .......................
Sugar : ...................... .......................
Morning Afternoon Night
Tim rice Tim rice Tim rice
Snack at 10.00 : Boiled fish Tomato marinated Soya sauce
................................................................................................................ Scrambled carrot meat grilled chicken
Watery sweet Stir fry tempeh Tofu pepes
Afternoon at 12.00 – 13.00 : tea Clear spinach Cah vegetables
Rice / substitute : ...................... ....................... vegetable Ambon banana
Animal : ...................... ....................... Snack Sweet orange
Vegetable : ...................... ....................... Papaya juice Snack : Papaya slada
Vegetables : ...................... .......................
Fruit : ...................... .......................
Oil : ...................... ....................... To vary food, use the foodstuff exchange
brochure
Snack at 16.00 :
Access further information : sigizi@com
................................................................................................................
E-mail : gklinis @yahoo.com
Night at 18.00 – 19.00
Rice / substitute : ...................... .......................
Animal : ...................... .......................
Vegetable : ...................... .......................
Vegetables : ...................... .......................
Fruit : ...................... .......................
Oil : ...................... ....................... So that your heart is
Ministry of Health of the Republic of Indonesia “Eathealthy
following a balanced
Snack at 21.00 : Directorate of nutrition development nutritional,
stop smoking and
................................................................................................................ Subdit for clinical nutrition development do regular physical activity”
*) Ukuran Rumah Tangga 2011
 Food Management
FOOD MATERIAL RECOMMENDED RESTRICTED AVOIDED
CARBOHYDRATE Sources of charcoal hydrate : Noodles, white bread,
Diet Goals : SOURCE rice, tim rice, oatmeal
porridge, macaroni, corn,
sticky rice, curcuma, cake,
biscuits, pastries, sugar
potatoes, yams and taro,
• Reduce the workhard of the heart oatmeal, cereals (complex
• Normalize body weight charcoal hydrates that
• Meet the nutritional needs of patients contain lots of fiber).
• Prevent or reduce body fluids
• Reduce the risk of clogged arteries SOURCE OF ANIMAL Lean meat, skinless chicken, Lean meat 1x/week, Fatty meat, organ meats,
PROTEIN fish, egg whites, low-fat milk chicken 3x/week, duck, sausages, smoked meat,
sardines (canned food) lard, brain, crab, clams,
and egg yolk 1x/week. cheese, full cream milk
Diet
VEGETABLE Peanuts, Bogor beans, Red nut, oncom, cashew
Requirements
• Enough energy to reach and maintain normal PROTEIN SOURCE
Tempeh, tofu, green beans, soy
maximum 25 g nuts
: body weight VEGETABLES Non-gasy vegetables : Vegetables that can give
spinach, beans, pumpkin, gas, like : cabbage,
• Protein 0,8 g/kg ideal body weight / day chayote, carrots, long beans, cauliflower, radish,
tomatoes, luffa, kale, winged mustard, young jackfruit
• Fat 25 - 30% of energy needs, 7% saturated bead, long bean leaves,
fat and 10 - 15% unsaturated fad kenikir leaves, cucumbers,
lettuce and bean sprouts.
• Low cholesterol, especially if accompanied
by dyslipidemia
FRUITS Fruits or juices : oranges, apple, Fruits that can cause by
papaya, melon, guava, banana, gas and high fat, such as
• Enough vitamins and minerals. Avoid using
avocado, star fruit, mangoes. durian, jackfruit,
potassium, calcium, and magnesium supplements cempedak, pineapple.
if they are not needed.
• Low salt, 3– 5 g/day, if accompanied by FOOD
Coffee, thickness tea,
hypertension or edema soda and alcoholic drinks

• Food is easily digested and does not cause by gas ETC

Sharp spice (spicy, salty,
sour), a processed spice
• Enough fiber to avoid constipation containing sodium.
Things to note :
Recommended Food Processing Methods : boiled, steamed, roasted, sauteed
Avoided Food Processing Methods : fried